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CMS is proposing policies for reconciliation, including with respect to enforcement of payment of any reconciled rebate amount, consistent with both the statutory framework for the Part D Drug Inflation Rebate Program and the express authority in sections 1102 and 1871 of the Act to adopt regulations for the proper administration of the Medicare Prescription Drug Inflation Rebate Program

We also anticipate revisiting these considerations as we gain experience with processing ACO reopening requests as described in section III.G.7.c.(2).(e) of this proposed rule, reopening payment determinations and applying the calculation methodology described in section III.G.7.c.(2).(c) of this proposed rule and applying the benchmark adjustment described in section III.G.7.c.(2).(d) of this proposed rule

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